腹腔镜辅助治疗青春期先天性阴道闭锁合并有正常子宫患者的临床分析

余美佳; 胡群英; 吴治敏; 陈功立; 徐惠成; 梁志清; 陈勇

doi:10.16016/j.1000-5404.201612019

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腹腔镜辅助治疗青春期先天性阴道闭锁合并有正常子宫患者的临床分析

临床医学 | 更新时间：2026-01-09

- 腹腔镜辅助治疗青春期先天性阴道闭锁合并有正常子宫患者的临床分析
- Laparoscopic treatment for congenital colpatresia in adolescence with normal uterus: clinical analysis of 21 cases
- 第三军医大学学报 2017年39卷第15期页码：1569-1573
- 作者机构：
  
  400038 重庆，第三军医大学西南医院妇产科
- 作者简介：
  
  [ 陈勇, E-mail：2424347131@qq.com CHEN Yong, E-mail:2424347131@qq.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201612019
  中图分类号： R711.1;R713.3
- 收稿：2016-12-05，
  
  修回：2017-02-13，
  
  纸质出版：2017-08-15
- 稿件说明：
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余美佳, 胡群英, 吴治敏, 等. 腹腔镜辅助治疗青春期先天性阴道闭锁合并有正常子宫患者的临床分析[J]. 第三军医大学学报, 2017,39(15):1569-1573.

Meijia YU, Qunying HU, Zhimin WU, et al. Laparoscopic treatment for congenital colpatresia in adolescence with normal uterus: clinical analysis of 21 cases[J]. Journal of Third Military Medical University, 2017, 39(15): 1569-1573.
余美佳, 胡群英, 吴治敏, 等. 腹腔镜辅助治疗青春期先天性阴道闭锁合并有正常子宫患者的临床分析[J]. 第三军医大学学报, 2017,39(15):1569-1573. DOI： 10.16016/j.1000-5404.201612019.

Meijia YU, Qunying HU, Zhimin WU, et al. Laparoscopic treatment for congenital colpatresia in adolescence with normal uterus: clinical analysis of 21 cases[J]. Journal of Third Military Medical University, 2017, 39(15): 1569-1573. DOI： 10.16016/j.1000-5404.201612019.

摘要

目的

探讨对于青春期先天性阴道闭锁合并有正常子宫患者，采用腹腔镜手术辅助治疗，保留生育及生殖功能的可行性。

方法

回顾我科2008年2月至2015年12月收治的21例青春期先天性阴道闭锁合并有正常子宫患者病例及随访资料，均采用腹腔镜辅助下的游离切断部分盆底韧带及人工阴道前庭结合的方法进行治疗。分析患者基本手术情况、月经来潮、性生活等情况。

结果

本组患者中Ⅰ型阴道闭锁12例，Ⅱ型阴道闭锁9例，患者在腹腔镜辅助下完成手术，均保留子宫成功。平均手术时间67.1(44~129) min，术中平均出血67.4(20~200) mL，术后平均住院时间6.4(4~11)d，无损伤膀胱、直肠等手术并发症。术后随访患者19例，2例失访，随访时间为4~62个月。19例患者均月经来潮，4例患者(1例先天性阴道完全闭锁，3例先天性阴道中下段闭锁)术后性生活满意。

结论

青春期先天性阴道闭锁合并有正常子宫患者的治疗方法棘手有限，腹腔镜辅助下的手术治疗有望成为治疗的有效方法之一。

Abstract

Objective

To investigate the feasibility of laparoscopic technique in treatment of congenital colpatresia in adolescence with normal uterus.

Methods

Clinical and follow-up data of 21 cases of congenital colpatresia complicated with normal uterus in adolescence admitted in our department between February 2008 and December 2015 were retrospectively collected. All patients underwent surgical procedure of cutting a part of pelvic ligaments and uterovestibular anastomosis with the aid of laparoscopy. Surgical procedures

menstruation and quality of sexual life were analyzed.

Results

There were 12 cases of type Ⅰ vaginal atresia and 9 cases of type Ⅱ. All the procedures were operated under laparoscope with preservation of uterus. The average operation time was 67.1(44~129) min

intra-operative blood loss was 67.4(20~200) mL

and the average postoperative length of hospital stay was 6.4(4~11) d. No injuries of bladder and rectum or complications occurred in the patients. Two patients were lost in follow-up

and the other 19 patients were followed up for 4~62 months. All the 19 patients (100%) had their menses recovered

and 4 (1 with congenital colpatresia

and the other 3 with lower vaginal atresia) were satisfied with their sex life.

Conclusion

It is a thorny problem for the treatment of congenital colpatresia complicated with normal uterus in adolescence. Laparoscopy-assistant surgical treatment might be an effect approach for its treatment.

关键词

Keywords

references

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